Private Insurance/Exchanges

The main source of health insurance in the US, primarily through employers. The Affordable Care Act established health insurance exchanges (marketplaces) for the individual and small group market.

48 Economists Weigh In On ACA Legal Challenge

Feb. 17, 2014

The group reads like a Who’s Who of economists from across the political spectrum, and includes Nobel Laureates Peter Diamond and Eric Maskin along with LDI Senior Fellows Dan Polsky, Mark Pauly, and Ezekiel Emanuel. They have signed on to an amicus brief in the appeal of Halbig v. Sebelius, which challenges the availability of premium subsidies under the Affordable Care Act (ACA) through federal exchanges in the 36 states that did not establish their own insurance exchanges.

Why Repealing the ACA’s “Risk Corridor” Program is a Bad Idea

Nov. 20, 2013

A seemingly arcane but important provision in the Affordable Care Act (ACA) created a system of risk corridor payments during 2014-2016 for insurers offering individual coverage through the exchanges. Similar to an existing risk corridor system for insurers offering Medicare prescription drug coverage, the ACA’s risk corridor system will partially shield insurers from unexpectedly high costs in relation to premiums for coverage sold on the exchanges.

Learning from Massachusetts: Standardization in the Health Insurance Marketplace

Oct. 24, 2013

Insurance is a complex product, and choosing among different plans is a complex decision. As states and the federal government roll out health insurance exchanges, “choice architecture”—how options are presented—will affect what consumers choose. According to LDI Senior Fellow Amanda Starc, standardizing plans and information about plans can help consumers make better decisions.

Out2Enroll Campaign to Launch October 11 (National Coming Out Day)

Sep. 26, 2013

In just six days, the new Health Insurance Marketplaces will open their virtual doors and the next phase of implementing the Affordable Care Act (ACA) will begin. The Obama Administration, recognizing that the ACA holds particular relevance for the LGBT community, recently held a briefing at the White House for LGBT leaders across the US. I attended and represented the new Penn Medicine Program for LGBT Health.

Senior Advisor to the President Valerie Jarrett and HHS Secretary Kathleen Sebelius gave these opening remarks to set the stage for the day:

Is Medicare Advantage Good for Your Health?

Jun. 17, 2013

A new National Bureau of Economic Research (NBER) working paper by Afendulis, Chernew, and Kessler says yes. If this working paper holds up to peer review, these findings will offer an important endorsement of the Medicare Advantage program. The paper attributes large and striking reductions in all hospitalizations (22%), hospitalizations for ambulatory sensitive conditions (18%), and mortality (15%) to Medicare Advantage as illustrated in the graph below.